Mazur, Bruce A
Mazur, Bruce A is an individual health care provider with primary practice located at 1401 Maclovia Suite G, Santa Fe NM 87505. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mazur, Bruce A can be contacted via phone (505) 471-0818.Contact Information
Primary practice address
1401 Maclovia Suite G
Santa Fe NM 87505
Phone: (505) 471-0818
Fax: (505) 471-0822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2379 | New Mexico |
Profile Details
| NPI number | 1386645943 |
|---|---|
| LBN Legal business name | Mazur, Bruce A |
| Credentials | PT DC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386645943 | NPPES |
| New Mexico | Other | 2379 | STATE OF NM REG. AND LIC. |
| New Mexico | Other | NM000651 | STATE OF NM REG. AND LIC. |
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